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目的了解乡村医生对艾滋病(AIDS)基本知识和非法采供血传播艾滋病病毒(HIV)事件的知晓情况,探索农村AIDS防制工作的可行干预措施。方法本研究选择经采供血传播HIV疫情较为严重的某乡全体乡村医生为调查对象,应用定性和定量研究相结合的调查方法收集资料。数据录入和分析应用EPI6.0 软件。结果共调查33 人,有效问卷率100%。结果发现:95% 以上调查对象对AIDS 性传播、血液传播和传染性等问题有正确认识,而几乎50%对母婴传播和唾液、汗液、蚊虫叮咬、共用浴缸坐便等不传播HIV途径缺乏认识;80%以上调查对象了解本村血液组织者的目的、村民卖血高峰时间、血液传播疾病的危害和反对卖血行为; 27.3%调查对象偶尔使用一次性注射器,15.2%调查对象将使用过的一次性注射器丢弃或卖掉。结论农村地区存在较为严重的医源性交叉感染的隐患,乡村医生迫切需要AIDS防制知识的正规培训,而且有望成为农村AIDS防制工作的核心力量。
Objectives To understand the knowledge of rural doctors on the basic knowledge of AIDS and the illegal transmission and reception of blood and HIV, and to explore feasible interventions for prevention and control of AIDS in rural areas. Methods In this study, we selected all the village doctors in a township where the epidemic of HIV infection was more serious as the survey subjects, and collected the data by means of a combination of qualitative and quantitative methods. Data entry and analysis application EPI6.0 software. Results A total of 33 people surveyed, the effective questionnaire rate of 100%. The results showed that more than 95% of respondents had a correct understanding of AIDS transmission, blood transmission and contagion, while almost 50% of them did not have HIV transmission through mother-to-child transmission and saliva, sweat, mosquito bites, More than 80% of the respondents knew about the purpose of the blood organizer, the peak selling time of the blood of the villagers, the harm of the blood-borne diseases and the anti-selling of blood. 27.3% of respondents occasionally used disposable syringes and 15.2% of the respondents would have used Disposable syringes are discarded or sold. Conclusion There is a serious risk of iatrogenic cross-infection in rural areas. Rural doctors urgently need regular training on AIDS prevention knowledge, and are expected to become the core force in the prevention and control of AIDS in rural areas.